Palm Beach Primary Care Associates INC
Palm Beach Primary Care Associates INC was paid $19K by Medicaid between Jan 2018 and Nov 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPALM BEACH PRIMARY CARE ASSOCIATES INC
WELLINGTON, FL 33449
WELLINGTON, FL 33449
33aNPI1427270982assigned 05/03/2007
33bProvider typeSpecialist
28Total paid$19K
24GClaims7,373
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#311 of 553
Median peer was paid$31K
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,413 | $728.62 | |
| 2019 | 2,370 | $9K | |
| 2020 | 1,409 | $6K | |
| 2021 | 579 | $3K | |
| 2022 | 345 | $0.00 | |
| 2023 | 257 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 50% | 558 | 433 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 951 | 740 | $9K |
| 99307 | 1.9% | 156 | 109 | $369.40 | |
| 99490 | Ccm add 20min | 1.3% | 493 | 438 | $257.09 |
| 99318 | <1% | 20 | 15 | $71.42 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,652 | 1,887 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,083 | 930 | $0.00 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 18 | 14 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 159 | 144 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 63 | 54 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,205 | 1,026 | $0.00 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 15 | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHARMA, SHEKHAR (PRESIDENT)